Nur 271 test #3 Questions With Complete Solutions
A 12 year old boy seen in the clinic, and a diagnosis of
Hodgkin's disease is suspected. Which diagnostic test results
confirm the diagnosis of Hodgkin's disease?
A . Elevated vanillylmandelic acid urinary level.
B. The presence of blast cells in the bone marrow
C. The presence of Epstein-Barr virus in the blood.
D. The presence of Reed-Sternberg cells in the lymph nodes
Correct Answer D. The presence of Reed-Sternberg cells in the
lymph nodes
A 17-year-old client has been admitted to the hospital for a
biopsy to confirm the diagnosis of bone cancer. The nurse
should assess the client for which conditions? Select all that
apply.
a) Cough
b) dypsnea
c) fever
d) anorexia
e) decreased range of motion
f) pain
g) swelling Correct Answer a) Cough
b) dypsnea
f) pain
g) swelling
A 32-year-old woman meets with the nurse on her first office
visit since undergoing a left mastectomy. When asked how she
,is doing, the woman states her appetite is still not good, she is
not getting much sleep because she doesn't go to bed until her
husband is asleep, and she is really anxious to get back to work.
Which of the following nursing interventions should the nurse
explore to support the client's current needs?
1. Call the physician to discuss allowing the client to return to
work earlier.
2. Suggest that the client learn relaxation techniques to help with
her insomnia
3. Perform a nutritional assessment to assess for anorexia
4. Ask open-ended questions about sexuality issues related to
her mastectomy Correct Answer 4. Ask open-ended questions
about sexuality issues related to her mastectomy
A 42-year-old female highway construction worker is concerned
about her cancer risks. She has been married for 18 years, has
two children, smokes one pack of cigarettes per day, and
occasionally drinks one to two beers. She is 30 lbs. overweight,
eats fast food often, and rarely eats fresh fruits and vegetables.
Her mother was diagnosed with breast cancer 2 years ago. Her
father and an aunt both died of lung cancer. She had a basal cell
carcinoma removed from her cheek 3 years earlier. What
behavioral changes should the nurse instruct this client to make
to decrease her risk of cancer? Select all that apply.
1. Improve nutrition.
2. Decrease alcohol consumption.
3. Use sunscreen.
4. Stop smoking.
5. Loose weight.
, 6. Change her job to work inside Correct Answer 1. Improve
nutrition.
3. Use sunscreen.
4. Stop smoking.
5. Loose weight.
A 56-year-old client has lost 34 pounds since the start of
chemotherapy for colon cancer. Which of the following
laboratory findings should be reported to the health care
provider?
A. Albumin of 2.4 g/dL
B. White blood cell (WBC) count 3800/mm3
C. Urine specific gravity 1.020
D. Platelet count 90,000/mm3 Correct Answer A. Albumin of
2.4 g/dL
A 61 year old woman who is 5 feet 3 inches tall and weighs 125
pounds tells the nurse that she has a glass of wine two or three
times a week. The patient works for the post office and has a 5
mile mail delivery route. This is her first contact with the health
care system in 20 years. Which of these topics will the nurse
plan to include in patient teaching about cancer? (select all that
apply)
a. alcohol use
b. physical activity
c. body weight
d. colorectal screening
e. tobacco use
f. mammography
A 12 year old boy seen in the clinic, and a diagnosis of
Hodgkin's disease is suspected. Which diagnostic test results
confirm the diagnosis of Hodgkin's disease?
A . Elevated vanillylmandelic acid urinary level.
B. The presence of blast cells in the bone marrow
C. The presence of Epstein-Barr virus in the blood.
D. The presence of Reed-Sternberg cells in the lymph nodes
Correct Answer D. The presence of Reed-Sternberg cells in the
lymph nodes
A 17-year-old client has been admitted to the hospital for a
biopsy to confirm the diagnosis of bone cancer. The nurse
should assess the client for which conditions? Select all that
apply.
a) Cough
b) dypsnea
c) fever
d) anorexia
e) decreased range of motion
f) pain
g) swelling Correct Answer a) Cough
b) dypsnea
f) pain
g) swelling
A 32-year-old woman meets with the nurse on her first office
visit since undergoing a left mastectomy. When asked how she
,is doing, the woman states her appetite is still not good, she is
not getting much sleep because she doesn't go to bed until her
husband is asleep, and she is really anxious to get back to work.
Which of the following nursing interventions should the nurse
explore to support the client's current needs?
1. Call the physician to discuss allowing the client to return to
work earlier.
2. Suggest that the client learn relaxation techniques to help with
her insomnia
3. Perform a nutritional assessment to assess for anorexia
4. Ask open-ended questions about sexuality issues related to
her mastectomy Correct Answer 4. Ask open-ended questions
about sexuality issues related to her mastectomy
A 42-year-old female highway construction worker is concerned
about her cancer risks. She has been married for 18 years, has
two children, smokes one pack of cigarettes per day, and
occasionally drinks one to two beers. She is 30 lbs. overweight,
eats fast food often, and rarely eats fresh fruits and vegetables.
Her mother was diagnosed with breast cancer 2 years ago. Her
father and an aunt both died of lung cancer. She had a basal cell
carcinoma removed from her cheek 3 years earlier. What
behavioral changes should the nurse instruct this client to make
to decrease her risk of cancer? Select all that apply.
1. Improve nutrition.
2. Decrease alcohol consumption.
3. Use sunscreen.
4. Stop smoking.
5. Loose weight.
, 6. Change her job to work inside Correct Answer 1. Improve
nutrition.
3. Use sunscreen.
4. Stop smoking.
5. Loose weight.
A 56-year-old client has lost 34 pounds since the start of
chemotherapy for colon cancer. Which of the following
laboratory findings should be reported to the health care
provider?
A. Albumin of 2.4 g/dL
B. White blood cell (WBC) count 3800/mm3
C. Urine specific gravity 1.020
D. Platelet count 90,000/mm3 Correct Answer A. Albumin of
2.4 g/dL
A 61 year old woman who is 5 feet 3 inches tall and weighs 125
pounds tells the nurse that she has a glass of wine two or three
times a week. The patient works for the post office and has a 5
mile mail delivery route. This is her first contact with the health
care system in 20 years. Which of these topics will the nurse
plan to include in patient teaching about cancer? (select all that
apply)
a. alcohol use
b. physical activity
c. body weight
d. colorectal screening
e. tobacco use
f. mammography
